Individual
DR. TITILOPE OLAOLUWA OMISAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, CNP
Contact information
Practice address
9655 SCHMIDT LAKE RD STE 150, PLYMOUTH, MN 55442-4507
(763) 559-1640
Mailing address
1528 111TH DR NE UNIT D, BLAINE, MN 55449-4887
(908) 374-8661
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10421
MN
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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